Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,247.00	Facility		$1,013.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.33 / $1,075.05 / $1,261.70	Professional		$937.33	$1,075.05	$1,261.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,456.21 / $1,511.16 / $1,713.69	Professional		$1,456.21	$1,511.16	$1,713.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,165.55 / $1,510.02 / $2,325.92	Professional		$1,165.55	$1,510.02	$2,325.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,821.80 / $2,342.32 / $2,471.31	Professional		$1,821.80	$2,342.32	$2,471.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,001.98 / $1,157.70 / $3,192.89	Professional		$1,001.98	$1,157.70	$3,192.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,664.27 / $1,664.27 / $1,664.27	Facility		$1,664.27	$1,664.27	$1,664.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,178.08 / $1,520.19 / $2,420.96	Professional		$1,178.08	$1,520.19	$2,420.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,046.21 / $1,046.21 / $1,185.14	Facility		$1,046.21	$1,046.21	$1,185.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,046.21 / $1,056.06 / $1,185.14	Professional		$1,046.21	$1,056.06	$1,185.14
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $992.22 / $1,412.69 / $2,231.32	Professional		$992.22	$1,412.69	$2,231.32